JESSICA ANNE VANDERWILP PA-C
NPI 1851763635
Physician Assistant in Grand Rapids, MI

Active since October 20, 2015PECOS EnrolledAccepts Medicare Assignment
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 391-1730 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2024, Jul 20, 2023, Jul 26, 2019 and 2 more (5 updates tracked since 2018).

About Jessica Anne Vanderwilp Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA ANNE VANDERWILP PA-C (NPI 1851763635) is an individual physician assistant in Grand Rapids, Michigan, licensed in Arizona (6251) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1851763635
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA ANNE VANDERWILPCredential: PA-C
Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503-2560
Mailing Address4100 Embassy Dr Se Ste 400Grand Rapids, MI 49546-2416 · (616) 975-1845
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 20, 2015
Last NPPES UpdateDecember 13, 20245 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
NPI 1851763635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in AZ · 6251 Licensed in MI · 5601011525
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 MICHIGAN ST NE, Grand Rapids, MI 49503

Secondary Practice Locations 2

Location 1500 W Thomas Rd Ste 600Phoenix, AZ 85013-4221 · Phone (602) 406-1140 · Fax (602) 406-1149
Location 21727 W Frye Rd Ste 210Chandler, AZ 85224-5298 · Phone (480) 728-7564 · Fax (480) 728-2253

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jessica Anne Vanderwilp Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537469689
PECOS Enrollment IDI20151123001135
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
37 services37 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Internal Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physical Therapist
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
100 MICHIGAN ST NE, SUITE 8861
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Vanderwilp's NPI number?

The NPI number for Jessica Vanderwilp is 1851763635. It was assigned to this individual provider in the NPPES registry on October 20, 2015.

Where is Jessica Vanderwilp located?

Jessica Vanderwilp practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 391-1730.

What is Jessica Vanderwilp's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jessica Vanderwilp enrolled in Medicare?

Yes. Jessica Vanderwilp is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jessica Vanderwilp accept?

Health plans from Blue Cross Blue Shield of Arizona list Jessica Vanderwilp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Vanderwilp was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.